A list of the most recent deficiencies for Rehab at Scottsdale Village Square. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-18 | 2023-08-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-18 | 2023-08-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-18 | 2023-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-04 | 2023-07-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-04 | 2023-07-25 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-05-19 | 2023-07-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-05-19 | 2023-07-20 | N |
| Establish methods for sharing information. | Fire Safety | 2023-05-19 | 2023-07-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-19 | 2023-07-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-19 | 2023-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-19 | 2023-07-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Establish methods for sharing information. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-28 | 2022-06-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-28 | 2022-05-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-04-28 | 2022-05-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-28 | 2022-05-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-28 | 2022-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-28 | 2022-05-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-28 | 2022-05-26 | N |
| Post nurse staffing information every day. | Health | 2022-04-28 | 2022-05-26 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-04-28 | 2022-05-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-04-28 | 2022-05-26 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-04-28 | 2022-05-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-28 | 2022-05-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-28 | 2022-05-26 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-28 | 2022-05-26 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-28 | 2022-05-26 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-12-20 | 2020-02-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-12-20 | 2020-02-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-20 | 2020-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-20 | 2020-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-20 | 2020-02-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-20 | 2020-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-20 | 2020-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-20 | 2020-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-20 | 2020-02-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-07 | 2020-02-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-07 | 2020-02-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-07 | 2020-02-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-07 | 2020-02-24 | N |
